HomeMy WebLinkAbout08-7446
CITY OF ZEPHYRHILLS
5335 - '8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
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7446 -
Permit Number: 7446
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
1/30/2008
25.00
25.00
1/30/2008 Phone:
FPM-HOLE IN ONE DONUT SHOP-SUPPRESS ION-BEING DONE ON 1-30-08
Address: 5048 GALL BL V
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0000-01400-0000
Name: CUMBERLAND FARMS
Address: 777 DEHAM ST
CANTON,MASS
Cu~e~ ~ ~B
zf(2-b~ (2./7Jo~)
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Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review, administrative fees, and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application, Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater, All
work shall be performed in accordance with City Codes and Ordinances,
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
....
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
Date Rec<~ived
I 1 d&'200R
City of Zephyrhills Fire
Permit Application
I
I
Owner Nlune
Contact Phone Nbr
352-424-0906
Hole In One Donut Shop
Owner Phone
R13
I I 46R I I 5R03
Owner Address
Fee Simple Title Holder
I Titleholder Phone Nbr
II
II
Fee Simplle Titleholder Address
Job Addn:ss
5048 Gall Blvd, Zephyrhills, Fl
Subdivision
Bio-Hazard Waste Storage - ANNUAL
Coram Exhaust Kitchen Hood - Duct
D
D
D
D
Controlled Bum
Emergency Generator <30 KW
Emergency Generator> 30KW
Fin: Protection Maintenance - Annual
Parcel ill
D
D
D
D
D
D
Fumigation Tent
Hazardous Material (Tier II or RQ Facility) Annual
Hood Installation
LP - Natural Gas Installation
LP - Natural Gas Annual Sale
Places of Assembly - Annual
D
D
~
D
D
D
D
D
D
Sprinkler
Fire Alarm
Hood Clean - Suppression
Flire alarm Installation
Fire Pums
Fire Works
Flammable Application - Annual
Fuel Tanks
E3
E3
E3
Recreational Bum
Sparklers
Sprinkler System Installations
Standpipes ( Sprinkler System)
Torch Roofmg
Waste Tire Storage Annual
Value of Project
$ I I
Other: I
Contractof Sign
Company
Address
Address
Electrician Sign.
Plumber Sign
Address
Other Sign
Address
Address
Mechanical
Registered
18330 Lawrence Rd. Dade City, Fl
y
N I Fee Current I
License
Company
Registered
y
N I Fee Current I
License
Company
Registered
y
N I Fee Current I
License
Company
Registered
I
N I Fee Current I
y
License
Directions:
Fill out application completely. Company
Owner & Contractor sign back of application, notorize ( Or signed
Copy of ccmtract with owner) Registered
If over $2500.00, a Notice of Commencement is required
Mechanical work of ( $5000.00 ) requires a Notice of Commencent
Supply two (2) sets of drawings with applicable documentation
Allow 10 - 14 days for review after submittal date.
Security Fire Equipment, LLC
Y N I Fee Current
502552000220004
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions". ~:..:.
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILmES: If the owner has hired a contractor or- - ..
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Divisiol"l--t.icensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block. of this application for which they win be responsible. If you, as the owner sign as the
contractor,lhat may be an indication that he is not properly liciensed and is not entitled to permitting privileges in Pasco
County. .
CONSTRUCTION LIEN .LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applidant, have been provided with a copy of the "Florida Construction Lien Law-Homeowners
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the .owner", I;certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
'CONTRACliOR'S/OWNER'S AFRDAVIT: I certify that all the information in this application is accurate and
, that all work will be done in compliance witti all applicable laws regulating construction, zoning and land
,development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify
that no work or installation. has commenced prior to issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction, County and City codes, zoning regulations, and hilnd
development regulations in the jurisdiction. I also certify that I understand that the regulations of other
I govemmentagencies may apply to the intended work, and that it is my responsibility to identify what actions I
, must take to be in compliance.
If J am the AGENT FOR'THE OWNER. I promise in good faith to inform the owner of the permitting conditions set forth in
tilis affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
. plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit Issued shall be construed. to be a license to pr!Jceed with the work and not as authority to violate, cancel, alter, or
set aside aflY provisions: of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors In plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit i~ suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the jOb is considered abandoned.
i
WARNING'TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOnCE OF COMMENCEMENT.
FLORIDA JU'r'T (F.S. 117,03) ~.
OWNER OR AGENT CONTRACTOR d e_..q~
Subsaibed andb;wom to (or affirmed) before me this Subsaibed ~ to (or a ed) before me this
Who is/are personally known to me or haslhave produced Who Isfare personally known to me or has/have produced
as identification. . as identification.
Notary Public
Notary Pubfic
,
Commission No.
I
Commission No.
Name of Notary typed. printed'llT stamped
Name of Notary typed. printed or stamped